FDA Adverse Event
Injury
Summary report: N
BKS UNI
MDR report key: 15165543
·
Received August 4, 2022
Report
- Report Number
- 1722511-2022-00008
- Event Type
- Injury
- Date Received
- August 4, 2022
- Date of Event
- July 20, 2022
- Report Date
- July 20, 2022
- Manufacturer
- ORTHO DEVELOPMENT
- Product Code
- HSX
- UDI-DI
- 00822409109319
- PMA / PMN Number
- K211471
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
A PATIENT WHO HAD UNICOMPARTMENTAL KNEE ARTHROPLASTY ON (B)(6) 2022 HAD AN ASTHMA ATTACK TWO WEEKS LATER AND SUBSEQUENTLY COMPLAINED OF KNEE PAIN. AN NEW X-RAY SHOWED TIBIAL FRACTURES THAT WERE NOT PRESENT AT INTRA-OPERATIVE AND POST OPERATIVE CHECKS. A SECOND SURGERY WAS PERFORMED ON (B)(6) 2022 TO PUT IN AN ORIF PLATE WITH BONE GRAFT LEAVING THE UNICOMPARTMENTAL KNEE COMPONENTS IN PLACE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2166953 | BKS UNI | TOTAL KNEE ARTHROPLASTY PROSTHESIS | HSX | ORTHO DEVELOPMENT | 762-2100 | A263870 | 00822409109319 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |